Organization
PEDO THREE PROF. LLC
Active
Other names
Comfort Kids - Thornton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLTON FLAKE D.D.S. (OWNER)
(720) 277-5930
Entity
Organization
Contact information
Practice address
9652 WASHINGTON ST, THORNTON, CO 80229-2160
(720) 277-5930
(877) 444-4055
Mailing address
8223 S QUEBEC ST, SUITE O, CENTENNIAL, CO 80112-4415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10630
CO
1223P0221X
Pediatric Dentistry
Primary
10630
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44075871
—
CO
Enumeration date
01/17/2017
Last updated
01/17/2017
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